| NPI | 1629192075 |
|---|---|
| Doing Business As | PAYETTE CLINIC MEDICAL & MENTAL HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | KELLY MARTENE BELL Owner 360-216-4493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |